GARFIELD NEUROBEHAVIORAL CENTER — Nursing Home in OAKLAND, CA

1451 28TH AVENUE, OAKLAND, CA, 94601 | 5102619191

CMS Five-Star Rating

★★★☆☆ 3/5

Based on health inspections, staffing, and quality measures

Facility Overview

Medicaid
Certified Beds96
Average Residents/Day56.6
CMS Certification Number05A396

Staffing Levels

Hours Per Resident Day (HPRD)

Total Nurse Staffing 4.56 HPRD
RN Staffing 0.79 HPRD

Health Inspection Findings & Deficiencies

Most Recent Inspection August 1, 2025
Total Deficiencies 8 1 Severe

GARFIELD NEUROBEHAVIORAL CENTER had 8 health inspection deficiencies on its most recent inspection (August 1, 2025), including 1 classified as severe.

Inspection Findings — August 1, 2025

  • Ensure medication error rates are not 5 percent or greater. (Level E)
    Corrected — August 14, 2025
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Level J)
    Corrected — August 14, 2025
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Level D)
    Corrected — August 14, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Level D)
    Corrected — August 14, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Level D)
    Corrected — August 14, 2025
  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Level E)
    Corrected — August 14, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Level E)
    Corrected — August 14, 2025
  • Provide and implement an infection prevention and control program. (Level E)
    Corrected — August 14, 2025
CareQED Analysis

Garfield Neurobehavioral Center is a 96-bed nursing home in Oakland, California. It holds a 3-star CMS overall rating. Total nurse staffing is 4.6 hours per resident day, above the California average of 4.5. Its most recent inspection, in August 2025, cited 8 deficiencies, one of them severe. CMS has flagged this facility with an abuse icon.

A relative strength is that nurse staffing is slightly above the state average, which can support more consistent daily care. Worth asking the facility about are the specific steps it has taken to address recent deficiencies and the abuse flag — especially changes to abuse-prevention and reporting procedures, medication-safety practices, and how care plans are being completed and followed.

Frequently Asked Questions

Is GARFIELD NEUROBEHAVIORAL CENTER Medicare and Medicaid certified?

GARFIELD NEUROBEHAVIORAL CENTER is not Medicare certified and Medicaid certified according to CMS data.

What is GARFIELD NEUROBEHAVIORAL CENTER's CMS star rating?

GARFIELD NEUROBEHAVIORAL CENTER has an overall CMS rating of 3 out of 5 stars.

How is staffing at GARFIELD NEUROBEHAVIORAL CENTER?

GARFIELD NEUROBEHAVIORAL CENTER reports 4.56047 total nurse hours per resident day.

Has GARFIELD NEUROBEHAVIORAL CENTER had health inspection deficiencies?

On its most recent inspection, GARFIELD NEUROBEHAVIORAL CENTER had 8 total deficiencies, including 1 classified as severe.

How many beds does GARFIELD NEUROBEHAVIORAL CENTER have?

GARFIELD NEUROBEHAVIORAL CENTER has 96 certified beds.

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Data Source

This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.

CMS Provider Information updated May 1, 2026.

CMS Survey Summary updated May 1, 2026.

CMS Health Deficiencies updated May 1, 2026.

CareQED last updated June 21, 2026.

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